# HEARTLAND CARDIOLOGYPC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962645861
- **Authorized official:** DR. CLARENCE B AMAYUN M.D. (PRESIDENT)
- **Authorized official phone:** (765) 453-8001

## Contact information

- **Practice address:** 3611 S REED RD, SUITE 106, KOKOMO, IN 46902-3828
- **Practice address phone:** (765) 453-8001
- **Practice address fax:** (765) 453-8002
- **Mailing address:** 3611 S REED RD, SUITE 106, KOKOMO, IN 46902-3828
- **Mailing address phone:** (765) 453-8001
- **Mailing address fax:** (765) 453-8002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 01041643 | IN | Yes |

## Other

- **Enumeration date:** 04/08/2009
- **Last updated:** 04/27/2009